||Poverty Reduction and Risk among Key Populations
Oral Poster Discussion Session : Track D
||Mini Room 10
||25.07.2012, 13:00 - 14:00
Alinah Segobye, Botswana
Bruno Spire, France
|Reducing children's vulnerability in a regions with HIV prevalence with an integrated livelihoods, protection and psychosocial support (PSS) package|
C. Kiiza1, A. Babu Ndyabahika2
1WEI/Bantana Uganda, Kampala, Uganda, 2Initiative for AIDS Oprhans & Vulnerable Children, Kampala, Uganda
E. Babu Ndyabahika, Uganda
|Disability grant terminations and virologic and immunologic response to ARV treatment|
F. Booysen1, D. De Walque2, M. Over3
1University of the Free State (UFS), Economics, Bloemfontein, South Africa, 2The World Bank, Development Economics Research Group (DERG), Washington, United States, 3Center for Global Development, Washington, United States
F. Booysen, South Africa
|Street-based adolescents: actual emphasis on HIV prevention|
O. Sakovych1, O. Balakireva2, T. Bondar2
1UNICEF Ukraine, Kiev, Ukraine, 2Ukrainian Institute for Social Research after Olexandr Yaremenko, Kiev, Ukraine
O. Sakovych, Ukraine
|Community-level income inequality and HIV prevalence in injecting drug users in Thai Nguyen, Viet Nam|
T. Lim1, V. Go1, T.V. Ha2, N.L. Minh3, C. Viet Anh2, W. Davis4, V.M. Quan2
1Johns Hopkins Bloomberg School of Public Health, International Health, Baltimore, United States, 2Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Hanoi, Viet Nam, 3Center for Preventive Medicine, Thai Nguyen, Viet Nam, 4Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, United States
T. Lim, United States
|Does the 'inverse equity hypothesis' explain how both poverty and wealth can be associated with HIV prevalence in sub-Saharan Africa?|
J. Hargreaves1,2, C. Davey1, R. White1
1London School of Hygiene and Tropical Medicine, Department of Infectious Disease Epidemiology, London, United Kingdom, 2Chatham House Centre on Global Health Security, London, United Kingdom
J. Hargreaves, United Kingdom
|'There is hunger in my community': food security as a cyclically driving force in sex work in Swaziland|
R. Fielding-Miller1, Z. Mnisi2, N. Dlamini3, S. Baral4, C. Kennedy4
1Emory University Rollins School of Public Health, Behavioral Sciences and Health Education, Atlanta, United States, 2Swaziland Ministry of Health and Social Welfare, SNAP, Mbabane, Swaziland, 3Swaziland Ministry of Health and Social Welfare, Mbabane, Swaziland, 4Johns Hopkins Bloomberg School of Public Health, Baltimore, United States
R. Fielding-Miller, United States
Track D report by Tirelo Modie-Moroka
Poverty and HIV are linked. Poverty- related risk and vulnerability often leads to coping mechanisms that expose people to the risk of HIV infection, and may also exacerbate the impact of HIV. Lack of access to and poor utilization of HIV prevention strategies, counseling, treatment, and care services, and stigma and discrimination are the major structural drivers of the HIV epidemic among key populations. The session explored poverty reduction efforts among four key populations: orphans, female sex workers, ARV users on disability grants, and street adolescents.
A study by Fielding-Miller in Swaziland found that hunger, poverty and the need for healthier food were major factors in driving young women into sex work, especially those on ARV. A study by Kiiza presented a model poverty reduction program supported by the World Education (WEI)'s Western Uganda Bantwana Program (WUBP), which builds the capacity of nine community-based organizations (CBOs) to provide comprehensive child welfare services and referrals strengthening to OVCs and their families to improve. Outcomes from the model suggest that an integrated protection/livelihood intervention can improve outcomes in child wellbeing and avert HIV infection.
Another study by Booysen in South Africa on disability grant terminations and virologic and immunologic response to ARV treatment found that the termination of grant leads to poorer treatment outcomes, poor viral suppression at 3-12 months follow-up.
A study in Ukraine by Sakovych found that street adolescents are highly vulnerable to HIV-infection due to lack of access to medical and social services, housing, identification, and low educational attainment. A UNICEF response-based piloted intervention resulted in positive behavioral change and knowledge increase, suggesting the effectiveness and sustainability of child-focused interventions.
Effective HIV prevention strategies should consider poverty as a structural driver of HIV infection and one that may negatively impact of treatment and care. The promotion of community empowerment models for poverty reduction, promotion of fundamental human rights, integration of protection/livelihood intervention such as welfare-to-work programmes for people on ARV; prioritization of the destitute members of vulnerable populations and their children, guaranteed equal access to comprehensive quality health services are key factors to consider in programming.
There was debate over whether sex workers were lazy or caught up in vulnerable situations.